HR5275119th CongressWALLET

Diagnostic Accuracy in Sepsis Act of 2025

Sponsored By: Representative Kelly (PA)

Introduced

Summary

Adds blood culture contamination as a hospital-acquired condition under Medicare. This change would require the Secretary to establish a blood culture contamination measure capped at 1 percent for HAC applicability, effective for discharges in fiscal year 2026 and later.

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  • Hospitals: Hospitals would be measured on blood culture contamination and could be designated as "applicable hospitals" under Medicare's hospital-acquired condition rules if their contamination rate exceeds 1 percent.
  • Medicare oversight: The Secretary would have to create and apply a Blood culture contamination measure that limits the rate used for HAC determinations to 1 percent.
  • Timing and scope: The provision applies to discharges during fiscal year 2026 and later and inserts a new quantitative standard into the existing HAC measurement framework.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Medicare limits contaminated hospital blood tests

This bill would add blood culture contamination to Medicare’s list of hospital-acquired conditions. The Secretary of Health and Human Services would set a measure so hospitals keep contamination at or below 1%. It would apply to hospital discharges in fiscal year 2026 and later. This measure would be used in Medicare’s hospital-acquired condition program and could affect how hospitals are assessed and paid.

Sponsors & CoSponsors

Sponsor

Kelly (PA)

PA • R

Cosponsors

  • Craig

    MN • D

    Sponsored 9/10/2025

  • Gottheimer

    NJ • D

    Sponsored 9/19/2025

  • Vindman

    VA • D

    Sponsored 11/17/2025

  • Smith (NE)

    NE • R

    Sponsored 11/18/2025

Roll Call Votes

No roll call votes available for this bill.

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